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HomeMy WebLinkAbout0058 HARBOR HILLS ROAD �r9 ��.-b�- �i�r , - � _ � I' f i 14REcycvoo UPC ULU • No N IfASTINOS•MR CALCULATION SHEET 3 z J.O./W.O./CALCULATION NO, REVISfON PAGE PR.EPARER/DATE REVIEWER/CM.ECKER/DATE INDEPENDENT .REVIEWER/DATE c. Gz�R/c2z11 112_ gin. SUBJECT/TITLE . t� •{./ _ G / ��// /y OA CATEGORY CODE CLASS Pi t Pro,y e-'-¢y PL o r DZ�' ,_..-- ---- - L©f. 69 Lor 7/ L©r 70 R�ecA 22-.0 4- : 4o D 777 -- Ex�s nNi� BcaG; NE K/ -DECK . j SC.ACt� Lor 70 A� - '�' I'R OAI i r o©T�i E 7.� f f ?1621 TH .025L4) 1f ,b��j`' 7S Assessor's offioe•(lst floor):; i f$ '� NC SYST� H '/ �.Mt1ST THE hssessof's map and lot number ... 7../..... ��R/.' . �f D IN COMPLIA Board of Health (3rd floor): + �`rJzvm Sewage Permit number J. C - � �C -yyryry � TIT�'E 5 ' v Engineering Departmen4 (3rd floor): �j fi S �' M `overtop` NTAL CODE rasa House number .................::.............................:........,............... UI-ATIONS oYara� APPLICATIONS PROCESSED -8:30 930 A.M. and 1:00-2:00• P.M. only' TOWN pOF BARNSTABLE SUI.LDINJG IHS�PECTO APPLICATION FOR PERMIT,TO ...... ........_.)......... ........ C . .................................... .... ... . .. TYPE OF CONSTRUCTION .. .. . ...�r..................................................... 1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information. Location r. ..4. .... .. o, .... 1Y.L ..... ...........Rd f:/nv/ll-$ .... ..................... Proposed Use .......4 ..........�"`.......... S,ti� 7 ..Y.7..1:...... .._............. .. ..Od ...................................................... t Zoning District .......... ................... .............. .......... .... ....'.....................:..........:.........Fire District Nameof Owner .....................Address .................................................................................... Name of Builder .................Address ' Nameof Architect ...... .:....... .. ..........Address ............... .. ................... ......... . ................................ Number of Room ............: .�..,y.Foundation ... - .............. ................................. Exlerior .... ... ... ... .. ............ .. ...... .. ...Roofing Floors ........ .... .... .... ... .................... ...........Interior ...................... . ....................................................... Heating .....................�..................................:........................Plumbing ........ ..>...... ?! ................................................. Fireplace ........... ........................ .... .............. ........ Approximate Cost .............. . ........................................... . .... Definitive Plan Approved by Planning Board .... r_____--------------_______19____- Area �. .... . ............ ........... Diagram of Lot and Building Dimensions g g Fee ........... ................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Ruless and Regulations of thaTowBa rnstable`regarding the above construction. ' Name +.....:.... Construction Supewisor's License; .................................. .`A...::BRIANSKY 3 2 912 ADD FAMILY ROOM ti Nr` ... .. .... Permit for ........................... { ` Sincle._Family Dwelling .................. Location Lot #17 , 58 Harbor -Hill Road ....... .......... .................... ..... r i .............. . ...................... ............... y �•.`�/" f - y + + <. - ! r) Owner A.,...Briansky.................................... f 1F Type of Construction Frame i............................................ . Plot............?................ Lot ............ .................. PermitGra ed ....May..11$,... : ..T9 89 Date_ of. Inspection .......19 1 }- Date Completed ....`.........19 i w � x - - � .. , fit+-..:!• •-•' •x � - _? r.` f'' _� ,��� ,/ - � � _ . x t> Q e,f n F CALCULATION SHEET J.O./W.O./CALCULATION No. REVISION PAGE fREPARER/DATE REVIEWER/CNE'CKER/'DATE- 7151 �� �� ��1 INDEPENDENT REVIEWER/DATE DATE z'4 9l3 y� SUBJECT/TITLE OA CATEGORY/CODE CLASS 4/f^�rliLl jot L 1 M-. r t s I I t r , 1 t i i , j Il , I " j L I f r , I - P i f r I f TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 4241010 Application # e-.1�00 -00318 Health Division Date Issued Conservation ision Application Fee Planning Dept, Permit Fee � - Date Definitive Plan Approved by Planning Board 2) 10 9 Historic - OKH _ Preservation / Hyannis Project Street Address t.1 J lk Village .,-���v \l� Owner_ Address !;'3 (3rom yw.-i IPW-K hi 2a ilc;Esk°�If`;11 Telephone ozqc Permit Request )U&w V%0( btiEL ONk fe-MaJA o; S1 e, Logy Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation rzx> Construction Type Lot Size 0116 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Ef Two Family ❑ Multi-Family(# units) Age of Existing Structure 0 Historic House: ❑Yes UNo On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full C�Crawl; ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new J- Half: existing new Number of Bedrooms: Z existing —new Total Room Count (not including baths): existing i� new First Floor Room Count Heat Type and Fuel: YGas ❑ Oil ❑ Electric ❑ Other Central Air: dYes ❑ No Fireplaces: Existing_I New Existing wood/coal stove: ❑Yes Id No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing 0 new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ a Commercial ❑Yes 5 dNo If yes, site plan review# Current Use Proposed Use _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name` ( GQ� Telephone Number dt l _ Address. License # z9al Ci1�� (� � �� Home Improvement Contractor Worker's Compensation # ? ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO F- ,044- a SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: � FOUNDATION FRAME 3 F INSULATION to 171 10 N w FIREPLACE f, ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL :i FINAL BUILDING clK CW 0 DATE CLOSED OUT ASSOCIATION PLAN NO. t The Commonwealth of Massachusetts m Department of Industrial Accidents 1 Office of Investigations 600 Washington Street , t Al Boston,.MA 02111 ` s.. www.mkss.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers -Applicant Information P ease Print LeLyibly Name (Business/Organization/Individual): • ti / Address: iT j City/State/Zip:wamkm mA Phone M l Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I i * have hired the sub-contractors 6• New construction ❑ employees(full and/or part-time). . listed on the attached sheet. 7. ER-Remodeling 2.0 I am a sole proprietor or partner- � ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers.' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. . t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: C`t4l, Policy#or Self-ins. Lie.#04: /�r Expiration Date: % [7/10.- Job Site Address: s�g IA 1`kQfi i C Q City/State/ZiprP44-tortlik M f Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer ' under.the p i and enalties of perjury that the information provided above is true and correct. Signature: Date: Phone# Official.rise only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building.Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone M L Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing,employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." . Additionally,MGL chapter 152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pen-nit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street - Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax # 617-727-7749 www.mass.gov/dia ENERGY CONSERVATION.APPLICATION FORM FOR ENERGY EFFZCZCIENCY FOR ONE; AND TWO-FAMMY DETACHED RESIDENTLAL'CONSTRUCTION (780 CMR 61.00) Applicant Name_ W\ _" ! Site Address: ' ,- Vo, day o� s rd print Town: Applicant Phone: ��� � � Applicant Signature: Date of Application: J, 0 NEW CONSTRUCTION: choose ONE of the following two'o tions 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND TWO-FAMILY BUILDINGS NfAXQMUM 'MINIMUM Ceiling or❑ Slab Option 1: Fenestration exposed Wall Floor Basement perimeter U-factor floors R Value R-Value wall R Value HSPF SEER R-Value R Value and Depth National Appliance Encrgy .35 R-3 8 R-19 R 19 R-10 R-10) Conscrvation Act(NAECA)of 4 ft.• 1987 as amended,minimums or cater as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: REScheck Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.3.2 REScheck—Web which can be accessed at http://www.e.ncrgycodes.goy/rescheck/ AADPIT QNS.OR ALMATIONNS.TO EXISTING BUILDTNGS.O VER 5 YEARS OLD* *puildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the€ollow*mg formula to determine the %o of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b_a) SF 100 x _ % of glazing (b) Glazing area equals SF b a If glazing ' <40%.l]�E the chart below. If glazing is > 40 % rgceed to"SUNROOM', section 78Q CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXLMUM N00\4 M Ceiling and Slab Perimeter Fenestration •Wall Floor Basement Wall U-factor Exposed floors R-Value R-Value R-value R-Value R-Value and Depth .39 R-37 a R-13 • R-19 R-10 R-10, 4 feet EL R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i,e, not coin ressed over exterior walls, and including any access openings). ' SUNROOM An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out Consumer Information Form found in Appendix 120.P k � r Town of Barn•stab-le Regulatory Services BA-RN LY—g Thomas F_ Geiler,Director Fo; ^~� Building Division Tom Perry, Building Commissioner " 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-9624038 FaK:' 508-790-6230 Property Owner Must Complete and Sign This Section, % if Us ina A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. �rOL (Address of Job) Ale, D 3a w S. nature of Da (/ Print Name' If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable Hof�t�rp�y o Regulatory Services BAPMN zxsL Thomas F. Geiler,Director ttcss P 1639. �,a� Building Division Tom Perry,Building Commissioner 200 Mairi•Street, Hyannis, MA 0260.1 RwwAown.bzrnstable.ma.us Office: 508-862-4038 Fax: S09-790-6230 HOMEOWNER LICENSE EXEMPTION �t Please Print DATE: JOB LOCATION: 1 number street village ";"HOM$OWNER": name home phone# work.pbonc# CURRENT MAILING ADDRFSS: city/town state rip code The current exemption for"homeowners"was extended to include owner-occupied dwellinRs of six units or less and to allow hQrneowners to engage an individual for hirc�pvho°dot's not possess a liR3etise provided that the owner acts as. supervisor. DEFINTTION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not°be considered a bomeowner, Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that_he/she understands the Town,of Barnstable Building Dcpartmcnt minimum inspection,procedures and requirements and that he/sbV' will comply with said procedures and requirements. �#' �y�_ '`•. �y ,. "`` ,41,^F .,,4 R S ignatim of Homeowner Approval of Building Official 1 } ti Note: Three-family dwellings containing 35;000 cubic feef or larger will b6 raquired-tro<comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that "Any homeowner perfonning work for which a building permit is required shall be exempt from the provisions of this seetion.(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a parson(s)for hire to do such wofir,that such Homeowner shall act as supervisor." Many homeowners who use this exemption an unaware that they arc assurtung the responn'bilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it Would with a licensed Supervisor. The homeowner acting as Supervisor is ultimatclyresponsrblc. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a,form currently used by. several towns.'You may cart t amend and adopt such a forn-)certification for use in your community. Q:forrns:homccxcmpt IL Board of BWIdmg-Regulatiofis.and Standards: 3 " Construction Supervisor License ;I License: CS 98989. Y,w. Expiration 4J26/2012 Tr# 98989 f , ` . Restt�o6�'�. r ERIC GARMEL 24 TIFFT STREET APT 3 , E' NORTH ATTLEBORO MA02760 Commissioner 67 ' Boardt' eal� Bmld�no Re gulations and Standards + ` HOME IMPROVEMENT CONTRACTOR ° License or registration Valid for indtvidul use only Registrat on y 158172 �f expiration date. If found return to: before fie J Board o}'Building.Regulations and Standards Expt a 12r1 /2009 Tr# 262543 If One Ashburton Place Rm 1301 G l, Type -DEW- Me Ma.02108 CARMEL CONT (/}� ' 5 ERIC CARMEL r f . S�14 Adniwisthgto# Nvalid tivitho,ut SignatureiO - �� t .. + Y_ i O - 'l 1 C�'ce.� i C`"i Ze/ i i . 1 ?A i , I 1 f Fes^ Lloi�� It I ; A _ a � F i l / ! / . I } f - ___ . i x i i i u 3 ' -w ; x i A i r I i 11 , 1 , j 47 - O . TP _ X _ Assessor's offioe (1st floor): Assessor's ma and lot number ./...'.. ...(... .:. •,f? �,{,�,, rru� THETO�` p .............. Board of Health (3rd floor): Sewage Permit number ................. ..........`+�c¢>hc �cin��- Z BASTIIDLE, i ...... �^ HD Engineering Department (3rd floor): }-� vvetTl°° �a YA°a +- O 1679• \0� House number ........................................................................ '' o�P�d• APPLICATIONS PROCESSED .8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPEOF CONSTRUCTION ...................................................... ........ ...................................................... ..........................................�.19.6- TO THE INSPECTOR OF BUILDINGS: The undersigned iihereby`tappplies for a permit according to the d ffollowing information: Location l� 'fl �� , ti~ ��r LC... ��. .........14 V///&a//S .......................................................�........... ........ ......................................................... Y lProposed Use �.. �'`✓ �a�` 1 ......:e.................................................................................................................................................................... ZoningDistrict ........�_.. ........... ...................................Fire District .....\.. ................................................................ Nameof Owner n.... 9—. '. . �.i �......................Address .................................................................................... : % � ... ......I 0 Name of Builder ....................................................................Address .................................................................................... (t ' Name of Architect ............... .-1.... r�A....... ............Address ...............,.........................,.......�f.................................. nacres Q_z E A �/7�f'!... 4� Number of Rooms ........................ ................... •......Foundation G. Exterior ..../s��(.. ..."...... ..............Roofing ............... Floors ......... ..(•G:. --..`.............. ...............Interior ............!liq- t�Gl�� ........ ............................Plumbin ........'.<..:Z.. i40__ Heating n................................ g ............................................................ 4 • gyp_., �� -- Fireplace ....... i� -...!`...f..f.................:...:...........,......Approximate Cost .... ...� t .................................................. Definitive Plan Approved by Planning Board ________________________________19-------- . Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town-of Barnstable regarding the above construction. Name Construction Supervisor's License Ln...�� A. BRIANSKY A=247-069 No .,3 2 912 Permit for ..ADD... AMILY...ROOM Single Family Dwe.11inq \ Location .Lot #17.,.......5.q... arbor,,,H,ill Road I ................Hyannis............................................. / Owner ...A.....BrianskY......:............................ Type of Construction ... rame................................ ............................................................................... Plot ............................ Lot ................................ Permit Granted........May........................19 89 Date of Inspection ....................................19 Date Completed ......................................19 c offio —0st .floor): ' Fi+ ����E� 1�`JS'j' �YNc ro �.. < / l/l. sor s map on, lot number ... . . .../.....,<..., .�. . (10111--'.�,, ry�.';t t_�'',,.A�_ ED IN COMPLIA o 7 Eerd of Health Ord floor): `,J I� I f{ /t``„ IMTH TITIL sewage Permit number J'L.. ..... ... g7h C. �iC—". B9Hd9TADLE, ... T 1 ;,.;r5�I d1EtNTAL CODE MAB& ZU G J.'A Gv4 f17 0.J Engineering,Department (3rd'. floor): f rasa ATION 1639. Houk number .............................................:.......................... / ECnlUL ^� 'YOYnr ;APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only r 4 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO C ).........:. ... TYPE OF CONSTRUCTION ........................................................... ((((4 Yi.e....................................................... ....................��..�^...Z.. .19. .. TO•�THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following �infflowrm/a�t�i/o�n: Location ..A \-.- .� .....�aLL 1x �--P � � ........f./, .................................. � ProposedUse .......a ::...............\1...........1\. ::.:. .......::............................................,................................................... ZoningDistrict ...... .....................................Fire District ..... .. ............................................................. Nome of Owner ... .....................Address .............................. \\ t1 Nameof Builder ................... ..... .....,....................Address .....:.............................:...:.. ...................................... Name of Architect ..... ........Address ....... ........... .. ................................ Cmc Number of.Room .`. Exlerior .. '. . . ............................Rooring ....... .•......... ...... Floors �.. ....1.... . . ... . ............................Interior )GC,CJL— • ............. Heating .....................o............................................................Plumbing ........'cT Fireplace ..... .............. ......... . .. .. . ......... ...... Approximate Cost .... ��.,,v, ..,.. ... Definitive'Plan Approved by Planning Board ------------------_____.._19 ..... .. . Area ..:..��.�.....20........... Diagram of Lot and Building will) Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 5 OCCUPANCY PERMITS REQUIRED FOR-NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Tow Barnstable regarding the. above construction. I Name ....... ..... . ................... .................. ............... Construction Supervisor's License:.................................... 3291 2 - ADD FAMILY R001A No ;.....- -...:Percaait for .................... Sin 1`e Family Dwelling --••----.,........................ ........... Y _ Locotion -Tbt ml7 58 Harbor�Hill- Road ---•--•. ........--•----•.......--- .................... - 1-vanni s Owner .. B^ a-�sk- ................... Type of Ccristrucesor, Frame .................................... Plot ....,..•----.......------... Lot ................................ May -8' 8 0 Permit Grc �,ed ............... ....................i 9 Date of Inspection ....................................19 Dote Cornpi-eted .................. f yr 90 T `.. s � _ �-�-;•-- -,a ,. - - I r t Sj r It e f t3 s 247 069 o P E R NP f TT �'M ,,t ACT'.TONfF I CART'ft?7 L KEY 15218 PERiN T"—b-0 NO YR TYPE VALUE CK—BY NO .YR %CMP NEWIDEMO COMMENT �f E3 9.12j C 5 J C 9.1 fAD 7 .� 8000 7 f J f')I I C-30 !:00 NE: t J f J f�� AZ�I''N I f _7f. Jf Jf 7 If Jf I Jf I J f 7 f Jf J � Jt J .i Jt Jf 1f IC J1 J I ? f Jf Jf if J J f J [' • f J f J f J f J J J f I f J f J f J f f i • f Jf � 1 Jf J .� � f ? f .� f � f � f 1 f f Jf Jf J ;: JJ Jf Jt- f Jf .If J f f i f I I J J Jf I Jf Jf Jf J f ? f Jf Jf I I Jf I Jf I J f J �' f J f J f f J J J f J f J f I I J f .I f ' • ? Jf Jf Jf J .I Jf Jf .If Jf Jf .I f .� � f J f f J f ? ? J f J f J f I f J f f J f 1 f J J f J J .I f J f J f 3 f J f ? f f J f .I f .I f J .I J f J f J f J f J f J f J � t J i J t , L J J I t J J f J z J f .I f 3 f J f 1 f J f J J I f J f J f J f J f J f J f Jf Jf Jf .I .! Jf Jf Jf Jf .If J � J � f J f J f J f J J _J f J f J f J f J f J f if • r a i Li end �c Tzn- Co,u S Lv s rew-1